Should You Remove Internal Fixation Plates After Bone Healing? - Orthopedics

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The decision to remove internal fixation plates after bone healing is a nuanced one and depends on several factors, including the patient's individual circumstances, the type of fracture, and the presence of any complications. In your case, having sustained a radial fracture over a year ago, it is understandable that you are considering whether the internal fixation plate should be removed now that the bone has healed.

Firstly, it is important to recognize that internal fixation devices, such as plates and screws, are commonly used in orthopedic surgery to stabilize fractures and allow for proper healing. Once the bone has healed, as confirmed by your recent X-ray, the necessity of removing these devices can be evaluated based on a few key considerations:
1. Symptoms and Discomfort: If the plate is causing discomfort, irritation, or pain, or if it is palpable under the skin, removal may be warranted. Some patients report discomfort from the hardware, especially during activities that involve pressure on the area.

2. Complications: In some cases, the presence of the plate can lead to complications such as infection, irritation of surrounding tissues, or even bone resorption (osteoporosis) around the hardware. If there are signs of these issues, removal may be necessary.

3. Future Activities: If you are an active individual or involved in sports, you may wish to consider removal to prevent any potential issues during physical activities. Some patients prefer to have the hardware removed to avoid any risk of injury or complications related to the hardware during high-impact activities.

4. Age and Long-term Considerations: While many patients live with their internal fixation devices without issues, there is a possibility that as you age, the presence of the hardware could lead to complications such as arthritis or discomfort. However, this is not universally the case, and many individuals retain their hardware without significant long-term effects.

5. Surgeon's Recommendation: Ultimately, the decision should be made in consultation with your orthopedic surgeon. They will assess your specific situation, including the healing of the bone, the position of the hardware, and any symptoms you may be experiencing. They can provide guidance on whether removal is advisable based on their clinical judgment and experience.

In summary, while there is no strict requirement to remove internal fixation plates after bone healing, the decision should be based on your symptoms, the potential for complications, and your lifestyle. If you are experiencing discomfort or have concerns about the hardware, discussing these with your surgeon is crucial. They can help you weigh the pros and cons of removal and guide you toward the best decision for your health and well-being.

Additionally, if you choose not to remove the plate, it is generally safe to continue with your normal activities, including exercise, as long as you are not experiencing pain or discomfort. However, always consult with your healthcare provider before resuming any strenuous activities, especially if you have concerns about your recovery or the presence of the hardware.